Individual
BRENNA SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5301 N FEDERAL HWY STE 270, BOCA RATON, FL 33487-4910
(561) 241-6628
Mailing address
4522 W VILLAGE DR # 513, TAMPA, FL 33624-3429
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005715
VA
Other
Enumeration date
09/22/2012
Last updated
02/23/2025
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